A case of reduction en masse of an inguinal hernia treated by laparoscopic surgery Kyohei KAMIHATA 1 , Yoshio NAGAHISA 1 , Kazuki HASHIDA 1 , Mitsuru YOKOTA 1 , Michio OKABE 1 , Kazuyuki KAWAMOTO 1 1Department of Surgery, Kurashiki Central Hospital Keyword: 鼠径ヘルニア , 偽還納 , 腹腔鏡手術 pp.64-69
Published Date 2021/1/15
DOI https://doi.org/10.11477/mf.4426200874
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 Reduction en masse of inguinal hernia is a rare condition and is generally treated by laparotomy because of diagnostic and procedural difficulties. We report the case of a reduction en masse treated by laparoscopic surgery.

 A 72-year-old woman presented to our emergency clinic with right groin pain. She was diagnosed with incarcerated right inguinal hernia and underwent manual reduction. Despite adequate reduction, her pain did not improve. Ultrasound examination showed a dilated segment of intestine in a cystic mass in the right groin. Reduction en masse of an inguinal hernia was suspected, and she underwent emergency laparoscopic repair using the transabdominal preperitoneal approach. Laparoscopic exploration showed intestinal prolapse into the preperitoneal space. We cut the fatty peritoneum, reduced the incarcerated loop of small bowel, and repaired the hernia defect by placing a mesh. Laparoscopic repair using the transabdominal preperitoneal approach may be a simple and useful alternative for treating reduction en masse.

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